When is surgery required for carpal tunnel syndrome?

Written in association with: Mr Preetham Kodumuri
Published:
Edited by: Conor Lynch

In this article below, carpal tunnel syndrome is explained by revered consultant orthopaedic surgeon, Mr Preetham Kodumuri, including the symptoms, causes, and treatment options.

What are the most common symptoms of carpal tunnel syndrome?

The most common symptoms are pins and needles in the hand, pain that starts in the fingers and goes all the way to the wrist, and numbness in the hand.

 

What causes carpal tunnel syndrome?

The reason why carpal tunnel syndrome occurs is quite straightforward. The carpal tunnel is the small space located at the bottom of your hand right in the middle. In there, you have the median nerve.

 

Any pressure applied to that nerve, quite often to the ligament sitting on top of the nerve, leads to the squashing and thickening of the ligament. As a result, the round nerve starts to get flatter and flatter. Any movement of the wrist and hand makes this worse.

 

Is treatment always required or can the problem resolve on its own?

Initially, when the symptoms are mild, treatment can include providing patients with splints for their wrists. Lifestyle modifications can also help. Initial treatment will never be surgical. Nerve exercises can also help.

 

What can be done at home to help relieve the symptoms of carpal tunnel syndrome?

Quite often, the patients suffering these symptoms use splints themselves at home and find that it helps them. Wearing a splint at night when sleeping can be helpful. Painkillers may help some patients too.

 

What are the available treatment options?

When splints do not work, and patients cannot get relief at home, we can get patients injections. This will provide symptomatic relief.

 

When is surgery required?

Surgery is required when all of the above fails.

 

To book a consultation with Mr Preetham Kodumuri, simply head on over to his Top Doctors profile today

Mr Preetham Kodumuri

By Mr Preetham Kodumuri
Orthopaedic surgery

Mr Preetham Kodumuri is an experienced consultant orthopaedic surgeon practising in Wrexham. He specialises in the hand and wrist areas with such conditions as carpal tunnel syndrome and Dupuytren's contracture. He also specialises in wrist arthroscopy, tendon reconstruction and repair surgery, small joint arthroplasty, and Wide Awake Hand Surgery procedures.

In 2004, Mr Kodumuri received his basic medical qualification from Dr. NTR University of Health Sciences in India, which he subsequently relocated to the UK and undertook his basic medical training in the East Midlands. In 2018, he received his Certificate of Completion of Training in Nottingham and Derby, then Mr Kodumuri went on to receive the rare achievement of being awarded both the British and European Hand Surgery Diplomas in 2019. Mr Kodumuri was also awarded international travelling fellowships to internationally-recognised hand units at the Mayo Clinic, Christine Kleinert Hand Institute, and Ganga Hospitals in India, where he broadened his expertise in the field.

Mr Kodumuri has a passion for sustainability and working to have a more green-friendly healthcare. In 2021, he was a participant included in one of five teams who competed in the Green Surgery Challenge supported by The Royal College of Surgeons and the Centre for Sunstainable Healthcare. He and one other surgeon were nationally recognised for their innovative, sustainable healthcare projects. Mr Kodumuri is developing pathways to and surgical practices with an aim to reduce the carbon footprint within the NHS and medical practice.

"We are hugely excited about this success as this will make a big difference to the way we treat our patients in hand surgery across North Wales," Mr Kodumuri commented on the challenge.

In addition, Mr Kodumuri maintains an interest in research in hand and wrist orthopaedics, and has had multiple papers published in peer-reviewed journals, as well as the Journal of Hand Surgery, European Volume. During his extra time outside of clinical practice, research, and finding green options for healthcare, Mr Kodumuri is also a clinical tutor for the British Diploma in Hand Surgery and is a faculty member for the Fellowship of Royal College of Surgeons revision course, helping train and prepare future orthopaedic surgeons.


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